| NPI | 1922777044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LC200003367) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 27681) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003367) | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2026-08-19 |